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Infection control measures in ophthalmology during the COVID-19 outbreak: A narrative review from an early experience in Italy.
Eur J Ophthalmol. 2020 Jul; 30(4):621-628.EJ

Abstract

INTRODUCTION

The novel coronavirus (SARS-CoV-2) is infecting people and spreading easily from person-to-person. Cases have been detected in most countries worldwide. Italy is one of the most affected countries as of 30 March 2020. Public health response includes a rapid reorganization of the Italian National Healthcare System in order to reduce transmission of COVID-19 within hospitals and healthcare facilities, while optimizing the assistance to patients with severe COVID-19 complications.

METHODS

We analysed the actions that were taken in three ophthalmology centres in northern Italy during the SARS-CoV-2 outbreak and how these measures affected patient's attendance. In addition, due to the rapidly evolving scenario, we reviewed the evidence available during the course of this pandemic.

RESULTS

A full reorganization of ophthalmology services is mandatory according to current existing infection containment measures in order to continue dispensing urgent procedures without endangering the community with amplification of the diffusion chain. Ophthalmologists are considered at elevated risk of exposure when caring patients and vice versa, due to their close proximity during eye examination. High volumes of procedures typically generated by ophthalmologists with concurrent implications on the risk of infection are considered when re-assessing healthcare facilities reorganization.

CONCLUSION

Containment measures in the event of pandemic due to infective agents should be well known by healthcare professionals and promptly applied in order to mitigate the risk of nosocomial transmission and outbreak.

Authors+Show Affiliations

Department of Medicine - Ophthalmology, University of Udine, Udine, Italy. Department of Ophthalmology, Ospedale Santa Maria della Misericordia, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy.Department of Medicine - Ophthalmology, University of Udine, Udine, Italy. Department of Ophthalmology, Ospedale Santa Maria della Misericordia, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy. Istituto Europeo di Microchirurgia Oculare (IEMO), Udine, Italy.Vita-Salute San Raffaele University, Milan, Italy. IRCCS San Raffaele Scientific Institute, Milan, Italy.Department of Medicine - Ophthalmology, University of Udine, Udine, Italy. Department of Ophthalmology, Ospedale Santa Maria della Misericordia, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy. Istituto Europeo di Microchirurgia Oculare (IEMO), Udine, Italy.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

32418481

Citation

Veritti, Daniele, et al. "Infection Control Measures in Ophthalmology During the COVID-19 Outbreak: a Narrative Review From an Early Experience in Italy." European Journal of Ophthalmology, vol. 30, no. 4, 2020, pp. 621-628.
Veritti D, Sarao V, Bandello F, et al. Infection control measures in ophthalmology during the COVID-19 outbreak: A narrative review from an early experience in Italy. Eur J Ophthalmol. 2020;30(4):621-628.
Veritti, D., Sarao, V., Bandello, F., & Lanzetta, P. (2020). Infection control measures in ophthalmology during the COVID-19 outbreak: A narrative review from an early experience in Italy. European Journal of Ophthalmology, 30(4), 621-628. https://doi.org/10.1177/1120672120927865
Veritti D, et al. Infection Control Measures in Ophthalmology During the COVID-19 Outbreak: a Narrative Review From an Early Experience in Italy. Eur J Ophthalmol. 2020;30(4):621-628. PubMed PMID: 32418481.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Infection control measures in ophthalmology during the COVID-19 outbreak: A narrative review from an early experience in Italy. AU - Veritti,Daniele, AU - Sarao,Valentina, AU - Bandello,Francesco, AU - Lanzetta,Paolo, Y1 - 2020/05/17/ PY - 2020/5/19/pubmed PY - 2020/7/10/medline PY - 2020/5/19/entrez KW - COVID-19 KW - SARS-CoV-2 KW - coronavirus KW - face mask KW - personal protective equipment KW - triage SP - 621 EP - 628 JF - European journal of ophthalmology JO - Eur J Ophthalmol VL - 30 IS - 4 N2 - INTRODUCTION: The novel coronavirus (SARS-CoV-2) is infecting people and spreading easily from person-to-person. Cases have been detected in most countries worldwide. Italy is one of the most affected countries as of 30 March 2020. Public health response includes a rapid reorganization of the Italian National Healthcare System in order to reduce transmission of COVID-19 within hospitals and healthcare facilities, while optimizing the assistance to patients with severe COVID-19 complications. METHODS: We analysed the actions that were taken in three ophthalmology centres in northern Italy during the SARS-CoV-2 outbreak and how these measures affected patient's attendance. In addition, due to the rapidly evolving scenario, we reviewed the evidence available during the course of this pandemic. RESULTS: A full reorganization of ophthalmology services is mandatory according to current existing infection containment measures in order to continue dispensing urgent procedures without endangering the community with amplification of the diffusion chain. Ophthalmologists are considered at elevated risk of exposure when caring patients and vice versa, due to their close proximity during eye examination. High volumes of procedures typically generated by ophthalmologists with concurrent implications on the risk of infection are considered when re-assessing healthcare facilities reorganization. CONCLUSION: Containment measures in the event of pandemic due to infective agents should be well known by healthcare professionals and promptly applied in order to mitigate the risk of nosocomial transmission and outbreak. SN - 1724-6016 UR - https://www.unboundmedicine.com/medline/citation/32418481/Infection_control_measures_in_ophthalmology_during_the_COVID_19_outbreak:_A_narrative_review_from_an_early_experience_in_Italy_ L2 - http://journals.sagepub.com/doi/full/10.1177/1120672120927865?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -